Case Report
Volume: 5 | Issue: 8 | Published: Aug 26, 2021 | Pages: 246 - 248 | DOI: 10.24911/ejmcr/173-1620750924
The radiological finding of chronic malrotation in a 12-year-old child with omphalocele and liver herniation: a case report and literature review
Authors:
Khurram Khaliq Bhinder
, Zouina Sarfraz
, Azza Sarfraz
, Sameer Saleem Tebha
, Nasir Ali Afsar
Article Info
Authors
Nasir Ali Afsar
Pharmacology, Jinnah Medical and Dental College, Karachi, Pakistan.
Publication History
Received: May 11, 2021
Accepted: August 05, 2021
Published: August 26, 2021
Abstract
Background: Malrotation of the intestines is an uncommon pediatric condition that typically presents in the first month of life. Case Presentation: Using the SCARE 2020 Guidelines, we report a case of a 12-year-old female with omphalocele and bilobed liver herniation presenting with chronic intestinal malrotation. A computed tomography of the abdomen and pelvis with IV contrast revealed a peritoneal defect measuring 4 cm in the upper abdomen, containing the gut including pylorus, duodenum while retrospective distension of the stomach was seen up to the pylorus. The open Ladds procedure was performed to correct the defect. No complications were noted intra- or 1 month post-operatively. Patients with intestinal malrotation may present with abdominal pain, intestinal obstruction, nausea, or vomiting. Conclusion: The open Ladds procedure was deemed safe, feasible, and effective in a resource limited country like Pakistan, in the treatment of young children with intestinal malrotation.
Keywords: Intestinal malrotation, omphalocele, liver herniation, Ladds procedure, Pakistan, case report, green
